Motivational Interviewing Self-evaluation Checklist This document can be used as a self-evaluation tool to improve your MI skills.

DRES (Spirit)

Develop Discrepancy - between actual and ideal behavior; between behavior and larger values Roll with Resistance never meet force with force; avoid righting reflex Express Empathy - even (especially?) in the face of resistance Support Self-efficacy - actively support and affirm client strengths; allow maximu freedom and choice AROSE (Microskills)

Affirmations - to support strengths, convey respect and appreciation, deflect resistance Reflective listening to explore concerns, convey understanding, deflect resistance; elicit change talk Open-ended questions to explore concerns, promote collaboration, understand clients perspective Summaries - to organize discussion, clarify motivation Elicit change talk get the client to tell you what the target problem is

Focus on the following items to review your skills: Goal: Engagement Worked to fully understand problem and clients perspective before moving towards change Focused on engagement before change Used reflective listening to convey empathy and understanding Used affirmations to build a positive relationship Goal: Assessing motivation Identified a target behavior Identified stage of change Used importance, confidence, readiness ruler Differentiated between different areas of motivation (e.g., substance use vs. mental health; treatment vs. change) Goal: Addressing ambivalence Normalized ambivalence Explored ambivalence Reframed ambivalence Used a decisional balance Avoided direct persuasion Explored pros and cons of change

Adapted from: Jonathan Krejci, Ph.D., Princeton House Behavioral Health Version 01/24/06

Goal: Promoting internal motivation Elicited and respected clients goals for treatment Explored values underlying motivation for change Supported autonomy in decision making Goal: Eliciting change talk Asked about concerns using open-ended questions or reflective listening Asked for elaboration about concerns Explored client values as they relate to change Selectively responded to change talk with curiosity, interest Explored pros and cons/decisional balance Used low threshold questions Goal: Rolling with resistance Avoided confrontation/direct persuasion Met resistance with: Internal reframe Affirmation (external reframe) Empathic response Reflective listening Providing choice Non-defensive response Goal: Supporting client strengths Explored previous successes Explored positive qualities Accentuated any motivation for change Highlighted any efforts towards change Used affirmations to highlight strengths, motivation

Adapted from: Jonathan Krejci, Ph.D., Princeton House Behavioral Health Version 01/24/06